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Oregon rates for HCPCS 72195

Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)

Facilitymedian $148 · 10th–90th $95$2090%10%20%10th90th$148Professionalmedian $302 · 10th–90th $95$7410%5%10th90th$302$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $147.91 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $501.19 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $141.25 / $288.40
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $338.84 / $602.56
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $79.43 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $478.63 / $891.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $97.72 / $204.17
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $363.08 / $691.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $512.86 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $147.91 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $371.54 / $446.68
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $138.04 / $208.93
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $537.03 / $891.25
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $144.54 / $213.80
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $371.54 / $660.69
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $190.55 / $707.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $575.44 / $891.25
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $141.25 / $204.17
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $457.09 / $831.76
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $575.44 / $758.58
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$125.89 / $147.91 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $407.38 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $457.09 / $870.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $91.20 / $213.80
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $354.81 / $707.95